Alan Derzie, MD
Emergency Medicine, Emergency Medical Services in Brooklyn, NY. Individual provider (NPI-1).
Details
- NPI
- 1053481978
- Entity type
- Individual (NPI-1)
- Name
- Alan Derzie
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 229148 | NY | Yes |
Practice location
4802 10th AveBrooklyn, NY 11219-2916
Phone 718-283-8773 · Fax 718-283-8796
Mailing address
Gpo Box 29580New York, NY 10087-9580
Phone 718-283-8773 · Fax 718-283-8796
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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